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CHART NO. _ <br />everetl <br />City of Everett <br />Sewer Application, 0AM <br />c ��sIC' <br />NO. 25867 DATE �pepi,o= oe ]9Yi <br />Service Address_ 2322 Us%= a>~ Utility Account No. <br />Billing Address ._n sax rx7 Permit Fee 2.50 <br />City, State, Zip_ isosotl, MA 9Y20G _ Connection Che:ge(s) <br />Owner (Mortgagor) fko0�s 2yt Total <br />Billing Name 211we <br />Connection <br />W <br />Phone <br />DESCRIPTION: Sewer District — <br />Lot hBlockMonthly Sewer Service. <br />Plat <br />OK R"fttt <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: Irunk <br />Lateral <br />Remarks: <br />Abutting Lot Line <br />N, S, E, W_ <br />1P.-ORTANT! <br />CALL 1-800424-555548-HOURS <br />PRIOR TO DIGGING <br />CALL 2;9-.a11 rOR INSPECTION <br />SEE SKETCH ATTACHED <br />2.50 <br />Approved By <br />ny npinee, <br />Issued By rgo--• y McLeod <br />- <br />Inspection By -- <br />Date Inspected <br />No. 25867 <br />I i :: "i_Cl iGN <br />